Mucosubmucosal elongated colonic polyp

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Presentation transcript:

Mucosubmucosal elongated colonic polyp Jennifer L. Horsley-Silva, MD, Dora M. Lam-Himlin, MD, David E. Fleischer, MD VideoGIE Volume 2, Issue 4, Pages 85-87 (April 2017) DOI: 10.1016/j.vgie.2017.01.014 Copyright © 2017 The Authors Terms and Conditions

Figure 1 A 12-mm elongated, pedunculated, “wormlike” polyp in the ascending colon. VideoGIE 2017 2, 85-87DOI: (10.1016/j.vgie.2017.01.014) Copyright © 2017 The Authors Terms and Conditions

Figure 2 A 12-mm elongated, pedunculated, “wormlike” polyp in the ascending colon, lifted with biopsy forceps. VideoGIE 2017 2, 85-87DOI: (10.1016/j.vgie.2017.01.014) Copyright © 2017 The Authors Terms and Conditions

Figure 3 Another view of the 12-mm elongated, pedunculated, “wormlike” polyp in the ascending colon. VideoGIE 2017 2, 85-87DOI: (10.1016/j.vgie.2017.01.014) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Endoloop maneuver performed over the polyp stalk and closed at the base. VideoGIE 2017 2, 85-87DOI: (10.1016/j.vgie.2017.01.014) Copyright © 2017 The Authors Terms and Conditions

Figure 5 Polyp resected with 13-mm hot snare distal to endoloop location. VideoGIE 2017 2, 85-87DOI: (10.1016/j.vgie.2017.01.014) Copyright © 2017 The Authors Terms and Conditions

Figure 6 After resection, the polyp was retrieved with a 3-cm × 6-cm Roth net. VideoGIE 2017 2, 85-87DOI: (10.1016/j.vgie.2017.01.014) Copyright © 2017 The Authors Terms and Conditions

Figure 7 Low magnification showing an elongated polyp lined by nondysplastic colonic mucosa with normal architecture (H&E, orig. mag. ×1.25). VideoGIE 2017 2, 85-87DOI: (10.1016/j.vgie.2017.01.014) Copyright © 2017 The Authors Terms and Conditions

Figure 8 Higher magnification showing the polyp stalk to be composed of submucosal elements such as adipocytes, connective tissue, and medium-sized muscular vessels. The muscularis mucosae is clearly visible at the base of the colonic crypts (H&E, orig. mag. ×10). VideoGIE 2017 2, 85-87DOI: (10.1016/j.vgie.2017.01.014) Copyright © 2017 The Authors Terms and Conditions